Healthcare Provider Details

I. General information

NPI: 1649159070
Provider Name (Legal Business Name): CORTNEY HARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CORTNEY SMERDON

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 WASHINGTON ST STE C
MIDLAND MI
48640-5612
US

IV. Provider business mailing address

1509 WASHINGTON ST STE C
MIDLAND MI
48640-5612
US

V. Phone/Fax

Practice location:
  • Phone: 989-837-8350
  • Fax: 989-837-8350
Mailing address:
  • Phone: 989-837-8350
  • Fax: 989-837-8350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: